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General NPI Number Information
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NPI Number | 1861760597
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Entity Type | Organization
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Legal Business Name | UNITY CHIROPRACTIC AND REHABILITATION LLC
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Dates
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Enumeration Date | 12/08/2011
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Last Update Date | 01/03/2012
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Provider Practice Location Address
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Address Line | 6006 HAMPTON AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63109-3607
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Country | US
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Telephone | 314-352-1343
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Fax |
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Provider Business Mailing Address
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Address Line | 1408 CRYSTAL POINTE CIR
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City | SAINT LOUIS
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State | MO
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Zip | 63146-4948
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIMOTHY M PLUMLEY
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Credential | D.C.
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Telephone | 314-540-4596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2011032371
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License Number State | MO
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